Pathogen-related Diseases Research Articles

Ciprofloxacin Electrochemical Sensor Using Copper-Iron Mixed Metal Oxides Nanoparticles/Reduced Graphene Oxide Composite.

The harmful effects of antibiotic proliferation on the environment and its persistent nature are urgent global problems. Ciprofloxacin (CIP) is a fluoroquinolone-class antibiotic agent used widely to treat pathogen-related diseases in humans and animals. Its excretion into surface water causes antibiotic resistance in microbes, resulting in difficult-to-treat or untreatable infectious diseases. This study developed a simple and efficient electrochemical sensor to detect CIP. Hydrothermal chemistry was utilized to synthesize an electrophotocatalytic composite of copper-iron mixed metal oxides (CIMMO) on reduced graphene oxide (rGO) (CIMMO/rGO). The composite was employed in an electrochemical sensor and exhibited outstanding performance in detecting CIP. The sensor was operated in differential pulse voltammetry (DPV) mode under light source illumination. The sensor yielded a linear response in the concentration range of 0.75 × 10-9-1.0 × 10-7 mol L-1 CIP and showed a limit of detection (LOD) of 4.74 × 10-10 mol L-1. The excellent sensing performance of the composite is attributable to the synergic effects between CIMMO nanoparticles and rGO, which facilitate photoinduced electron-hole separation and assist in the indirect electrochemical reactions/interactions with CIP.

Hydrogeochemical and microbial constituents of groundwater in Lephalale municipality, Limpopo province, South Africa

This study assessed the hydrogeochemical characteristics and microbial constituents of groundwater in Lephalale Municipality, South Africa. A total of 71 borehole water samples were collected from 15 villages within the Lephalale Municipality between April 2019 and October 2020. The results of the parameters such pH, EC, TDS, and alkalinity range from 6.69 to 7.87, 620.30 to 1937.00 μS/cm, 330.35 to1035.50 mg/L and 50.00-390.00 mg/L, respectively. The mean values of major cations and anions were found to be in the order of Na+>Ca2+>Mg2+>K+ and HCO3−>Cl−>NO3−>SO42−>F−, respectively. About 35 % of the tested samples had F− concentrations above 1.5 mg/L recommended by the world health organization (WHO) to eliminate the risk of fluorosis. The hydrogeochemical facies determined using a piper diagram revealed the dominance of mixed CaMgCl and CaHCO3 water types. The Gibbs plot analysis revealed that the main composition-controlling hydrogeochemical processes in the study area is the rock-water interaction. The microbial constituent's analysis showed that faecal coliform in groundwater samples were ranging between 0 and 71 CFU/ 100 mL with an average of 0.56 CFU/100 mL, while total coliform (TC) counts were between 0 and 360.5 CFU/100mL with the average of 30.81 CFU/100mL, respectively. This study revealed that groundwater in some boreholes from Lephalale Municipality poses risk of fluorosis and pathogen related diseases. Therefore, the study recommends improving of water quality within the study area prior to consumption.

Targeting CD38/ ADP-ribosyl cyclase as a novel therapeutic strategy for identification of three potent agonists for leukopenia treatment

Leukopenia is the most common side effect of chemotherapy and radiotherapy. It potentially deteriorates into a life-threatening complication in cancer patients. Despite several agents being approved for clinical administration, there are still high incidences of pathogen-related disease due to a lack of functional immune cells. ADP-ribosyl cyclase of CD38 displays a regulatory effect on leukopoiesis and the immune system. To explore whether the ADP-ribosyl cyclase was a potential therapeutic target of leukopenia. We established a drug screening model based on an ADP-ribosyl cyclase-based pharmacophore generation algorithm and discovered three novel ADP-ribosyl cyclase agonists: ziyuglycoside II (ZGSII), brevifolincarboxylic acid (BA), and 3,4-dihydroxy-5-methoxybenzoic acid (DMA). Then, in vitro experiments demonstrated that these three natural compounds significantly promoted myeloid differentiation and antibacterial activity in NB4 cells. In vivo, experiments confirmed that the compounds also stimulated the recovery of leukocytes in irradiation-induced mice and zebrafish. The mechanism was investigated by network pharmacology, and the top 12 biological processes and the top 20 signaling pathways were obtained by intersecting target genes among ZGSII, BA, DMA, and leukopenia. The potential signaling molecules involved were further explored through experiments. Finally, the ADP-ribosyl cyclase agonists (ZGSII, BA, and DMA) has been found to regenerate microbicidal myeloid cells to effectively ameliorate leukopenia-associated infection by activating CD38/ADP-ribosyl cyclase-Ca2+-NFAT. In summary, this study constructs a drug screening model to discover active compounds against leukopenia, reveals the critical roles of ADP-ribosyl cyclase in promoting myeloid differentiation and the immune response, and provides a promising strategy for the treatment of radiation-induced leukopenia.

Monoclonal Antibodies and their Applications in Cancer

Monoclonal Antibodies, also known as mAbs or mOAbs, are artificial antibodies produced in laboratories. These proteins assist the immune system in recognizing, tagging, and destroying cells in a number of different ways. By tagging antigens as foreign when the body is unable to recognize these cells, they activate the immune system to destroy cells. Monoclonal antibodies are largely preferred over polyclonal antibodies due to their specificity and targeted treatment. This makes them incredibly useful as they can be used to treat any cell-based or pathogen-related disease, including cancer. Monoclonal antibodies can be made to help the body recognize, tag or block receptors of cancerous cells without the side effects of other immunotherapies such as chemotherapy and radiation therapy. There are currently many mAb drugs on the market for cancer, that are either murine, chimeric, humanized or human. We can explore current methods of monoclonal antibodies and their applications, as well as possible treatments centered around immunotherapy. IT may be possible for us to continue expanding the market for monoclonal antibodies by changing the conditions under which they work, change their applications, and reduce their production time to make them more accessible to the public.

How susceptible are rainbow trout and brown trout to infection with tilapia lake virus at increased water temperature – Is there any potential for climate change driven host jump?

In poikilothermic animals like fish, outbreaks of pathogen-related diseases are closely related with the temperature of the surrounding environment. Many salmonid fish species are thermally sensitive and therefore are especially endangered by thermal stress and habitat loss caused by increasing temperatures during summer heat waves. We hypothesized that combining thermal stress and the presence of a novel viral pathogen from for example aquaculture effluents may result in a potential host jump of the pathogen. This could be one of the mechanisms leading to an increased vulnerability of salmonids to a novel disease. Tilapia lake virus (TiLV) could be considered as one of the most dangerous emerging viruses affecting warm water aquaculture of Nile tilapia. This pathogen has a global reach with a yet to be defined host range. The aim of this study was to assess the potential for TiLV to infect salmonid hosts in a range of water temperatures which can be reached during summer heatwaves in Continental Europe. For this, it was established that TiLV can replicate in vitro in salmonid cells over the wide temperature range of 15 °C to 25 °C. The susceptibility of rainbow trout and brown trout juveniles to infection with TiLV was investigated in infection trials based on cohabitation and on intraperitoneal injection of the virus in elevated water temperatures of 20 °C and 25 °C. These experiments showed that if the ability of the virus to enter the organism is considered, the susceptibility of rainbow and brown trout to the virus is low. The exposure of these salmonids to the virus by cohabitation did not lead to high virus loads in the liver and brain. However, the permissivity, i.e. the ability of the virus to replicate in the fish body, is high, because IP-injections of TiLV led to a high virus replication in internal organs. Therefore, TiLV could have some pathogenic potential in salmonids which might be exacerbated by climate change and anthropogenic activities.

Survey and Identification of Didymellaceae Causing Stem Canker Disease of Eucalyptus (E. camaldulensis) in Ethiopia

Plantation forests are established by planting Eucalyptus tree species to provide timber and pulp for the construction industries and to meet the energy needs in Ethiopia. Besides the extensive Eucalyptus plantations in the country, fungal pathogen-related diseases are the main challenges to successful production and management. The disease survey was conducted in the Eucalyptus growing areas of Ethiopia during 2019/2020 and 2020/2021. The objective of this research was to assess the diseases associated with Eucalyptus plant species and identify the causal fungal species. Plants of E. camaldulensis were the dominant species in the survey fields and were severely associated with stem and branch canker diseases. Diseased samples were collected and fungal species were identified as Didymellaceae according to culture morphology and affirmed by internal transcribed spacer sequence analysis. In phylogeny, isolates in the study and a reference strain formed supportive monophyletic clades with strong 90% and 95% support with Didymella coffeae-arabicae and Didymella pinodella respectively. Pathogenicity tests revealed that Didymellaceae could infect E. camaldulensis. The findings are the first reports of Eucalyptus stem canker disease caused by Didymellaceae in Ethiopia.

Influence of Elevated Temperatures on Resistance Against Phoma Stem Canker in Oilseed Rape.

Cultivar resistance is an important tool in controlling pathogen-related diseases in agricultural crops. As temperatures increase due to global warming, temperature-resilient disease resistance will play an important role in crop protection. However, the mechanisms behind the temperature-sensitivity of the disease resistance response are poorly understood in crop species and little is known about the effect of elevated temperatures on quantitative disease resistance. Here, we investigated the effect of temperature increase on the quantitative resistance of Brassica napus against Leptosphaeria maculans. Field experiments and controlled environment inoculation assays were done to determine the influence of temperature on R gene-mediated and quantitative resistance against L. maculans; of specific interest was the impact of high summer temperatures on the severity of phoma stem canker. Field experiments were run for three consecutive growing seasons at various sites in England and France using twelve winter oilseed rape breeding lines or cultivars with or without R genes and/or quantitative resistance. Stem inoculation assays were done under controlled environment conditions with four cultivars/breeding lines, using avirulent and virulent L. maculans isolates, to determine if an increase in ambient temperature reduces the efficacy of the resistance. High maximum June temperature was found to be related to phoma stem canker severity. No temperature effect on stem canker severity was found for the cultivar ES Astrid (with only quantitative resistance with no known R genes). However, in the controlled environmental conditions, the cultivar ES Astrid had significantly smaller amounts of necrotic tissue at 20°C than at 25°C. This suggests that, under a sustained temperature of 25°C, the efficacy of quantitative resistance is reduced. Findings from this study show that temperature-resilient quantitative resistance is currently available in some oilseed cultivars and that efficacy of quantitative resistance is maintained at increased temperature but not when these elevated temperatures are sustained for a long period.

Glutamate metabolism directs energetic trade-offs to shape host-pathogen susceptibility in Drosophila

Individual hosts within populations often show inter-individual variation in their susceptibility to bacterial pathogen-related diseases. Utilizing Drosophila, we highlight that phenotypic variation in host-pathogen susceptibility within populations is driven by energetic trade-offs, facilitated by infection-mediated changes in glutamate metabolism. Furthermore, host-pathogen susceptibility is conditioned by life history, which adjusts immunometabolic sensing in muscles to direct vitamin-dependent reallocation of host energy substrates from the adipose tissue (i.e., a muscle-adipose tissue axis). Life history conditions inter-individual variation in the activation strength of intra-muscular NF-κB signaling. Limited intra-muscular NF-κB signaling activity allows for enhanced infection-mediated mitochondrial biogenesis and function, which stimulates glutamate dehydrogenase-dependent synthesis of glutamate. Muscle-derived glutamate acts as a systemic metabolite to promote lipid mobilization through modulating vitamin B enzymatic cofactor transport and function in the adipose tissue. This energy substrate reallocation improves pathogen clearance and boosts host survival. Finally, life history events that adjust energetic trade-offs can shape inter-individual variation in host-pathogen susceptibility after infection.

Multi-omics data integration and network-based analysis drives a multiplex drug repurposing approach to a shortlist of candidate drugs against COVID-19.

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is undeniably the most severe global health emergency since the 1918 Influenza outbreak. Depending on its evolutionary trajectory, the virus is expected to establish itself as an endemic infectious respiratory disease exhibiting seasonal flare-ups. Therefore, despite the unprecedented rally to reach a vaccine that can offer widespread immunization, it is equally important to reach effective prevention and treatment regimens for coronavirus disease 2019 (COVID-19). Contributing to this effort, we have curated and analyzed multi-source and multi-omics publicly available data from patients, cell lines and databases in order to fuel a multiplex computational drug repurposing approach. We devised a network-based integration of multi-omic data to prioritize the most important genes related to COVID-19 and subsequently re-rank the identified candidate drugs. Our approach resulted in a highly informed integrated drug shortlist by combining structural diversity filtering along with experts’ curation and drug–target mapping on the depicted molecular pathways. In addition to the recently proposed drugs that are already generating promising results such as dexamethasone and remdesivir, our list includes inhibitors of Src tyrosine kinase (bosutinib, dasatinib, cytarabine and saracatinib), which appear to be involved in multiple COVID-19 pathophysiological mechanisms. In addition, we highlight specific immunomodulators and anti-inflammatory drugs like dactolisib and methotrexate and inhibitors of histone deacetylase like hydroquinone and vorinostat with potential beneficial effects in their mechanisms of action. Overall, this multiplex drug repurposing approach, developed and utilized herein specifically for SARS-CoV-2, can offer a rapid mapping and drug prioritization against any pathogen-related disease.

Nuphar lutea Extracts Exhibit Anti-Viral Activity against the Measles Virus

Different parts of Nuphar lutea L. (yellow water lily) have been used to treat several inflammatory and pathogen-related diseases. It has shown that Nuphar lutea extracts (NUP) are active against various pathogens including bacteria, fungi, and leishmanial parasites. In an effort to detect novel therapeutic agents against negative-stranded RNA (- RNA) viruses, we have tested the effect of a partially-purified alkaloid mixture of Nuphar lutea leaves on the measles virus (MV). The MV vaccine’s Edmonston strain was used to acutely or persistently infect cells. The levels of several MV proteins were detected by a Western blot and immunocytochemistry. Viral RNAs were quantitated by qRT-PCR. Virus infectivity was monitored by infecting African green monkey kidney VERO cells’ monolayers. We showed that NUP protected cells from acute infection. Decreases in the MV P-, N-, and V-proteins were observed in persistently infected cells and the amount of infective virus released was reduced as compared to untreated cells. By examining viral RNAs, we suggest that NUP acts at the post-transcriptional level. We conclude, as a proof of concept, that NUP has anti-viral therapeutic activity against the MV. Future studies will determine the mechanism of action and the effect of NUP on other related viruses.

Development of dual reporter imaging system for Francisella tularensis to monitor the spatio-temporal pathogenesis and vaccine efficacy.

PurposeStudy on the pathogen and the pathogen-related disease require the information at both cellular and organism level. However, lack of appropriate high-quality antibodies and the difference between the experimental animal models make it difficult to analyze in vivo mechanism of pathogen-related diseases. For more reliable research on the infection and immune-response of pathogen-related diseases, accurate analysis is essential to provide spatiotemporal information of pathogens and immune activity to avoid false-positive or mis-interpretations. In this regards, we have developed a method for tracking Francisella tularensis in the animal model without using the specific antibodies for the F. tularensis.Materials and MethodsA dual reporter plasmid using GFP-Lux with putative bacterioferritin promoter (pBfr) was constructed and transformed to F. tularensis live vaccine strain to generate F. tularensis LVS (FtLVS)-GFP-Lux for both fluorescence and bioluminescence imaging. For vaccination to F. tularensis infection, FtLVS and lipopolysaccharide (LPS) from FtLVS were used.ResultsWe visualized the bacterial replication of F. tularensis in the cells using fluorescence and bioluminescence imaging, and traced the spatio-temporal process of F. tularensis pathogenesis in mice. Vaccination with LPS purified from FtLVS greatly reduced the bacterial replication of FtLVS in animal model, and the effect of vaccination was also successfully monitored with in vivo imaging.ConclusionWe successfully established dual reporter labeled F. tularensis for cellular and whole body imaging. Our simple and integrated imaging analysis system would provide useful information for in vivo analysis of F. tularensis infection as well as in vitro experiments, which have not been fully explained yet with various technical problems.

Protective Effects of FCGR2A Polymorphism in Invasive Pneumococcal Diseases

Streptococcus pneumoniae is a major cause of pneumonia and meningitis. Several genetic polymorphisms have been described to explain differences in susceptibility and severity of encapsulated pathogen-related diseases. Among them, a functional FCGR2A polymorphism leading to amino acid change of histidine (H) to arginine (R) at position 131 appears to be a major candidate in adult invasive pneumococcal diseases (IPDs). However, previous reports need confirmation in a large, well-defined population. This prospective genetic association study was carried out in a 24-bed medical ICU of a tertiary teaching hospital over 7 years. DNA from all white patients with IPD (pneumonia or meningitis) was genotyped for the FcγRIIa-R/H131 polymorphism. A total of 243 patients with IPD were enrolled; 202 (82%) had pneumonia, and 55 (22%) had meningitis. Mean age was 61 years, and mean Simplified Acute Physiology Score II was 50.4. One-half of the patients had bacteremia, and 84% of the cohort received mechanical ventilation. The hospital mortality rate was 31%. In the IPD group, the distribution of the FcγRIIa-R/H131 genotypes (H/H, 25%; H/R, 53%; R/R, 22%) was comparable with that in the white control group. Comparison of the FcγRIIa-R/R131 and the FcγRIIa-R/H131 + FcγRIIa-H/H131 groups did not demonstrate any difference for age, Simplified Acute Physiology Score II, origin of sepsis, and other comorbid conditions. However, the variant FcγRIIa-R/R131 genotype was independently associated with decreased hospital mortality (OR, 0.251; 95% CI, 0.098-0.645; P = .004). In a well-defined population of patients with IPD, the frequency of the variant FcγRIIa-R131 does not differ from that of other critically ill patients. However, the FcγRIIa-R/R131 genotype was independently associated with increased survival, regardless of site of infection.

Protective effects of FCGR2A polymorphism in invasive pneumococcal diseases

Background Streptococcus pneumoniae is a major cause of pneumonia and meningitis. Several genetic polymorphisms have been described to explain differences in susceptibility and severity of encapsulated pathogen-related diseases. Among them, a functional FCGR2A polymorphism leading to amino acid change of histidine (H) to arginine (R) at position 131 appears to be a major candidate in adult invasive pneumococcal diseases (IPDs). However, previous reports need confirmation in a large, well-defined population. Methods This prospective genetic association study was carried out in a 24-bed medical ICU of a tertiary teaching hospital over 7 years. DNA from all white patients with IPD (pneumonia or meningitis) was genotyped for the FcγRIIa-R/H131 polymorphism. Results A total of 243 patients with IPD were enrolled; 202 (82%) had pneumonia, and 55 (22%) had meningitis. Mean age was 61 years, and mean Simplified Acute Physiology Score II was 50.4. One-half of the patients had bacteremia, and 84% of the cohort received mechanical ventilation. The hospital mortality rate was 31%. In the IPD group, the distribution of the FcγRIIa-R/H131 genotypes (H/H, 25%; H/R, 53%; R/R, 22%) was comparable with that in the white control group. Comparison of the FcγRIIa-R/R131 and the FcγRIIa-R/H131 + FcγRIIa-H/H131 groups did not demonstrate any difference for age, Simplified Acute Physiology Score II, origin of sepsis, and other comorbid conditions. However, the variant FcγRIIa-R/R131 genotype was independently associated with decreased hospital mortality (OR, 0.251; 95% CI, 0.098-0.645; P = .004). Conclusions In a well-defined population of patients with IPD, the frequency of the variant FcγRIIa-R131 does not differ from that of other critically ill patients. However, the FcγRIIa-R/R131 genotype was independently associated with increased survival, regardless of site of infection.

HORSE SPECIES SYMPOSIUM: A novel approach to monitoring pathogen progression during uterine and placental infection in the mare using bioluminescence imaging technology and lux-modified bacteria1,2

Uterine and placental infections are the leading cause of abortion, stillbirth, and preterm delivery in the mare. Whereas uterine and placental infections in women have been studied extensively, a comprehensive examination of the pathogenic processes leading to this unsatisfactory pregnancy outcome in the mare has yet to be completed. Most information in the literature relating to late-term pregnancy loss in mares is based on retrospective studies of clinical cases submitted for necropsy. Here we report the development and application of a novel approach, whereby transgenically modified bacteria transformed with lux genes of Xenorhabdus luminescens or Photorhabdus luminescens origin and biophotonic imaging are utilized to better understand pathogen-induced preterm birth in late-term pregnant mares. This technology uses highly sensitive bioluminescence imaging camera systems to localize and monitor pathogen progression during tissue invasion by measuring the bioluminescent signatures emitted by the lux-modified pathogens. This method has an important advantage in that it allows for the potential tracking of pathogens in vivo in real time and over time, which was hitherto impossible. Although the application of this technology in domestic animals is in its infancy, investigators were successful in identifying the fetal lungs, sinuses, nares, urinary, and gastrointestinal systems as primary tissues for pathogen invasion after experimental infection of pregnant mares with lux-modified Escherichia coli. It is important that pathogens were not detected in other vital organs, such as the liver, brain, and cardiac system. Such precision in localizing sites of pathogen invasion provides potential application for this novel approach in the development of more targeted therapeutic interventions for pathogen-related diseases in the equine and other domestic species.

Risk of Gastrointestinal Disease Associated with Exposure to Pathogens in the Water of the Lower Passaic River

During precipitation events, untreated human sewage is often intentionally discharged to surface water bodies via combined sewer overflow (CSO) systems in order to avoid overloading wastewater treatment plants. The purpose of this analysis was to evaluate the risk of pathogen-related disease associated with CSO discharges into the Lower Passaic River. Concentrations of fecal coliform, total coliform, fecal Streptococcus, and fecal Enterococcus bacteria were measured at six river locations on six different days in 2003 (n = 36). In addition, water samples (n = 2) were collected directly from and in the immediate vicinity of a discharging CSO in Newark, NJ. These samples were analyzed for fecal coliforms, total coliforms, fecal Streptococcus, fecal Enterococcus, Giardia lamblia, Cryptosporidium parvum, and several viruses. Risk estimates for gastrointestinal illness and Giardia infection resulting from indirect and direct ingestion of contaminated water were calculated for three potential exposure scenarios: visitor, recreator, and homeless person. Single-event risk was first evaluated for the three individual exposure scenarios; overall risk was then determined over a 1-year period. Monte Carlo techniques were used to characterize uncertainty. Nearly all of the pathogen concentrations measured in the Passaic River exceeded health-based water quality criteria and in some cases were similar to levels reported for raw sewage. The probability of contracting gastrointestinal illness due to fecal Streptococcus and Enterococcus from incidental ingestion of water over the course of a year ranged from 0.14 to nearly 0.70 for the visitor and recreator scenarios, respectively. For the homeless person exposure scenario, the risk for gastrointestinal illness reached 0.88 for fecal Streptococcus and Enterococcus, while the probability of Giardia infection was 1.0. This risk analysis suggests that, due to the levels of pathogens present in the Lower Passaic River, contact with the water poses, and will continue to pose, significant human health risks until CSO discharges are adequately controlled or abated.

Risk of Gastrointestinal Disease Associated with Pathogen Exposure in the Lower Passaic River

P-716 Introduction: During precipitation events, untreated human sewage in combined sewer overflow (CSO) systems is often intentionally discharged to surface water bodies to avoid overload of water treatment plants. Some studies have concluded that CSO discharges can cause pathogen-related disease in human populations and as a result, the U.S. Environmental Protection Agency (EPA) has recently initiated litigation against municipalities for inadequately controlling CSO discharges. In this analysis, we evaluate the pathogen risk associated with CSO discharge into the Lower Passaic River, New Jersey. Historical water monitoring data and sampling results taken near CSO discharge areas were used to establish representative microbial concentrations in surface water. These concentrations were used to quantify the risk of different diseases for various exposure scenarios. Methods: Concentrations of fecal coliform, total coliform, fecal Streptococcus, and fecal Enterococcus were estimated from water samples collected at various locations from the River on six different days (n=36) in 2004. To characterize CSO concentrations, one water sample was collected directly from and in the immediate vicinity of a discharging CSO during a precipitation event at a CSO in Newark, New Jersey (n=2) and analyzed for the above indicator bacteria, Giardia, and several viruses. Risk estimates for gastro-intestinal disease were calculated using geometric mean concentrations and well-established dose-response relationships. Three scenarios were considered: visitor (angler, boaters), recreator (swimmers, rowers), and transient (homeless individuals living along the River). Results: Nearly all of the pathogen concentrations measured in the Passaic River exceeded health-based water quality criteria, sometimes by several orders of magnitude. Giardia[r] cysts were detected in both CSO samples at levels similar to those reported for raw sewage. The visitor and recreator scenarios were associated with a 28% probability of gastrointestinal illness due to fecal coliform and a 4% probability due to fecal Streptococcus or fecal Enterococcus. For the transient scenario, Giardia exposures were predicted to yield a nearly 100% probability of infection, as well as nearly a three-fold increase in the risk of infection from fecal coliform and a 5.5% probability of gastrointestinal illness due to fecal Streptococcus or fecal Enterococcus. Conclusions: Water samples collected from the Passaic River contained pathogen concentrations that far exceeded health-based criteria. This risk analysis suggests that contact with Passaic River surface water is and will continue to pose a significant pathogen risk until the CSO discharges are controlled or abated.

Efforts to clean up Mediterranean Intensify

At the height of the 1973 holiday season, cholera struck in Naples, and the city was thrown into a state of near panic. Indeed, cholera that year hospitalized 278 people throughout Italy and claimed the lives of 25. Cholera outbreaks hit the headlines when they occur. Far more prevalent—but less publicized—in Italy and the Mediterranean region at large are cases of typhoid, viral hepatitis, and other serious pathogen-related diseases that attack thousands annually. And these aren't the only risks associated with the Mediterranean Sea's filthy condition. A variety of industrial wastes and agrochemicals entering the sea daily through countless rivers and outfalls is adding to its environmental hazards. This problem was the topic of a weeklong discussion in Athens earlier this month. Some 70 top-level delegates from 16 of the 18 countries that have coastlines on the Mediterranean Sea (Albania and Syria failed to show up) met to formulate a treaty aimed at protecting ...